Vaginoplasty and perineoplasty are two options for aesthetic female genital surgery

Choosing Vaginoplasty vs. Perineoplasty

Vaginoplasty is a surgical procedure that reduces your vaginal diameter, which can increase in size due to childbirth, significant weight loss and other life changes. Vaginal laxity can leave you with reduced sexual pleasure and stress urinary incontinence.

During a perineoplasty, your gynecologic surgeon works to repair and tighten the perineum, which is the tissue between your rectum and vagina. During childbirth, you may experience tearing or stretching of the perineum, or require an episiotomy. Resulting scar tissue can change the look and feel of your vagina and contribute to a feeling of looseness.

The Procedures

Both the vaginoplasty and perineoplasty are performed as outpatient procedures.

Vaginoplasty typically takes one to two hours and can be performed under general anesthesia or sedation with local anesthesia. Your gynecologic surgeon will make an incision in the rear floor of the vagina, remove excess tissue, and tighten the muscles.

Perineoplasty can be performed in 30-45 minutes with only minor sedation and local anesthesia.  Your gynecologic surgeon will use a small, v-shaped incision to remove excess tissue, as well as any scar tissue. The two sides of the perineum are then rejoined.

Once complete, dissolvable stitches are used to close the incision. Generally, you will spend about an hour in recovery. You will need someone to drive you home, once released by your gynecologic surgeon.


You will likely spend an hour or two in the recovery room following the procedure. Once your gynecologic surgeon releases you, a friend or family member should drive you home.

The first couple of days following surgery, you may experience some light bleeding, swelling, bruising and discomfort. Ice, medication and rest can help, as well as wearing a sanitary pad to catch the bleeding. It’s important to keep any external incision site clean and dry until the stitches dissolve a couple of weeks following the procedure.

You may return to work after a couple of days at home. The first four to six weeks, you should limit yourself to light activities. Normal activity, including sexual intercourse, may be resumed after six weeks. Keep your gynecologic surgeon apprised of any abnormal pain, discomfort or bleeding during your recovery period.

If you feel vaginoplasty or perineoplasty may be right for you, call our offices to discuss your options.